Kids Pack Request Form
If your little one is going into hospital for treatments or check-ups, fill out this form, and we will arrange to send you a pack! Each pack includes Olly the OI Owl, a handy drinks bottle, some wet wipes, a colouring book and pencils or a story book all enclosed in a lovely BBS drawstring bag. Please note that we can only send Kids Packs to addresses in UK and Ireland.
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Your Address
*
Street Address
Street Address Line 2
City
County
Post Code
Are you a Member/Supporter of the Brittle Bone Society (BBS)?
I am currently a member of the BBS
I want to become a member - you can sign up via our website!
Your Child's Name
*
First Name
Last Name
Age of Your Child
*
Gender of Your Child
*
When is your child going into hospital?
*
Any other details you would like us to know?
Submit
Should be Empty: